Implementing the Resource in Clinic Program in Primary Care Delivery

Wodinski, Lindsay; Woodman, Kate; Wanke, Margaret; Nguyen, Thanh Ngoc; Jacobs, Philip

doi:10.1177/2150131914542437

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Author details 1 Edmonton Oliver Primary Care Network, #130, 11910 111 Ave, Edmonton, AB, Canada. 2 Red Deer Primary Care Network, 5120 47 St, Red Deer, AB, Canada.…”

Section: Authors' Informationmentioning

confidence: 99%

“…In Alberta, primary care is largely organized into primary care networks (PCNs). PCNs, where member family physicians are grouped geographically, were established in 2003 to enhance primary care services by focusing care in the community and reducing patient involvement with the acute care system [ 1 ]. PCNs, in alignment with the Patient’s Medical Home (PMH) model, support member physicians in a variety of ways, including team-based care, electronic medical record (EMR) optimization, panel management, quality improvement expertise, and other functions [ 2 ].…”

Section: Primary Care In Albertamentioning

confidence: 99%

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The use of patient-reported outcome measures in primary care: applications, benefits and challenges

Brower

Schmitt-Boshnick²,

Haener

et al. 2021

J Patient Rep Outcomes

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PROMs use in primary care has expanded from simply describing patient populations to contributing to decision-making, in response to the increasingly complex, ever-changing healthcare environment. In Alberta, primary care is organized into primary care networks (PCNs), where family physicians are grouped geographically and supported by allied health professionals. PCNs implement programs and services in response to local population health needs with frequent evaluation, often incorporating PROMs for this purpose. As PCN programs and services vary greatly across Alberta, so do their use of PROMs. An area of commonality is the use of the EQ-5D-5L instrument; 29 out of 41 PCNs are registered and licensed to use the instrument. It is often administrated by paper, pre- and post-program, and in combination with other specific measures, depending on the program or target population. Some PCNs share programming and therefore outcome measurement, but often the selection, implementation (including training and administration procedures) and evaluation/reporting of PROMs are unique to the PCN. As well, data analysis is largely dependent on the size and capacity of the PCN. Using PROMs for PCN program evaluation supports clinical understanding and complements clinical outcomes. PROMs describe the population attending a program, as well as provide an element of consistency when examining trends across multiple programs or timepoints. This contributes to inquiries and decisions around program development, components, administrative features, resource allocation and delivery. Challenges of PROMs use in primary care include the absence of cohesive data capture technology. This limits data capabilities and presents difficulties with data fidelity, storage, export, and analysis. Additionally, this real-world application lacks a control arm and presents methodological challenges for comparative research purposes. Furthermore, capturing long term patient outcomes poses administrative challenges of multiple follow ups. More research is required into best reporting mechanisms to ensure the data is used to its full potential. To overcome these challenges, leadership and clinician engagement are key. As well, determining consistent PCN PROM reporting requirements will ensure data are comparable across PCNs and contribute to provincial level evaluations, further supporting the movement towards overall health system quality improvement.

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“…Author details 1 Edmonton Oliver Primary Care Network, #130, 11910 111 Ave, Edmonton, AB, Canada. 2 Red Deer Primary Care Network, 5120 47 St, Red Deer, AB, Canada.…”

Section: Authors' Informationmentioning

confidence: 99%

Section: Primary Care In Albertamentioning

confidence: 99%

The use of patient-reported outcome measures in primary care: applications, benefits and challenges

Brower

Schmitt-Boshnick²,

Haener

et al. 2021

J Patient Rep Outcomes

View full text Add to dashboard Cite

show abstract

“…That said, there are a few notable exceptions, namely Sheway [18,19], Breaking the Cycle [4,5,20,21], the Healthy, Empowered and Resilient (H.E.R.) program [22,23,24], and HerWay Home [25]. Findings from these evaluations demonstrate that these programs can help women:Experience better and earlier access to prenatal careReduce their substance useImprove their health and wellness outcomes and those of their childrenRetain and/or regain custody of their childrenDevelop new social/support networks and friendshipsAcquire parenting skills…”

Section: Introductionmentioning

confidence: 99%

National Evaluation of Canadian Multi-Service FASD Prevention Programs: Interim Findings from the Co-Creating Evidence Study

Rutman

Hubberstey²

2019

IJERPH

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Since the 1990s, a number of multi-service prevention programs working with women who have substance use, mental health, or trauma and/or related social determinants of health issues have emerged in Canada. These programs use harm reduction approaches and provide outreach and “one-stop” health and social services on-site or through a network of services. While some of these programs have been evaluated, others have not, or their evaluations have not been published. This article presents interim qualitative findings of the Co-Creating Evidence project, a multi-year (2017–2020) national evaluation of holistic programs serving women at high risk of having an infant with prenatal alcohol exposure. The evaluation utilizes a mixed-methods design involving semi-structured interviews, questionnaires, focus groups, and client intake/outcome “snapshot” data. Findings demonstrated that the programs are reaching vulnerable pregnant/parenting women who face a host of complex circumstances including substance use, violence, child welfare involvement, and inadequate housing; moreover, it is typically the intersection of these issues that prompts women to engage with programs. Aligning with these results, key themes in what clients liked best about their program were: staff and their non-judgmental approach; peer support and sense of community; and having multiple services in one location, including help with mandated child protection.

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Implementing the Resource in Clinic Program in Primary Care Delivery

Cited by 2 publications

References 4 publications

The use of patient-reported outcome measures in primary care: applications, benefits and challenges

The use of patient-reported outcome measures in primary care: applications, benefits and challenges

National Evaluation of Canadian Multi-Service FASD Prevention Programs: Interim Findings from the Co-Creating Evidence Study

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